Chance or necessity?
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Chance or necessity? Insertional mutagenesis in gene therapy and its consequences. / Baum, Christopher; von Kalle, Christof; Staal, Frank J T; Li, Zhixiong; Fehse, Boris; Schmidt, Manfred; Weerkamp, Floor; Karlsson, Stefan; Wagemaker, Gerard; Williams, David A.
in: MOL THER, Jahrgang 9, Nr. 1, 01.2004, S. 5-13.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Chance or necessity?
T2 - Insertional mutagenesis in gene therapy and its consequences
AU - Baum, Christopher
AU - von Kalle, Christof
AU - Staal, Frank J T
AU - Li, Zhixiong
AU - Fehse, Boris
AU - Schmidt, Manfred
AU - Weerkamp, Floor
AU - Karlsson, Stefan
AU - Wagemaker, Gerard
AU - Williams, David A
PY - 2004/1
Y1 - 2004/1
N2 - Recently, unusual forms of leukemias have developed as complications following retroviral transfer of potentially therapeutic genes into hematopoietic cells. A crucial component in the pathogenesis of these complications was the upregulation of a cellular proto-oncogene by random insertion of the retroviral gene transfer vector. These findings have great implications for the genetic manipulation of somatic stem cells in medicine. This review discusses the extent to which the random oncogene activation may have required disease-specific stimuli of the transgene and the hematopoietic milieu to become leukemogenic. Based on these considerations, we propose approaches to risk prediction and prevention.
AB - Recently, unusual forms of leukemias have developed as complications following retroviral transfer of potentially therapeutic genes into hematopoietic cells. A crucial component in the pathogenesis of these complications was the upregulation of a cellular proto-oncogene by random insertion of the retroviral gene transfer vector. These findings have great implications for the genetic manipulation of somatic stem cells in medicine. This review discusses the extent to which the random oncogene activation may have required disease-specific stimuli of the transgene and the hematopoietic milieu to become leukemogenic. Based on these considerations, we propose approaches to risk prediction and prevention.
KW - Adaptor Proteins, Signal Transducing
KW - Animals
KW - DNA-Binding Proteins/biosynthesis
KW - Genetic Therapy/adverse effects
KW - Genetic Vectors
KW - Hematopoietic Stem Cell Transplantation
KW - Humans
KW - LIM Domain Proteins
KW - Leukemia, T-Cell/etiology
KW - Leukemia-Lymphoma, Adult T-Cell/etiology
KW - Metalloproteins/biosynthesis
KW - Mice
KW - Mutagenesis, Insertional
KW - Proto-Oncogene Mas
KW - Proto-Oncogene Proteins
KW - Proto-Oncogenes/genetics
KW - Retroviridae/genetics
KW - Risk Assessment
KW - Up-Regulation/genetics
U2 - 10.1016/j.ymthe.2003.10.013
DO - 10.1016/j.ymthe.2003.10.013
M3 - SCORING: Review article
C2 - 14741772
VL - 9
SP - 5
EP - 13
JO - MOL THER
JF - MOL THER
SN - 1525-0016
IS - 1
ER -